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DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX REV-1607 EX AFP C12-140
INHERITANCE TAX DIVISION
PO BOX
AT E M E N T OF ACCOUNT
HARRISBURG PA 17126-RECORDED OFFICE
REGISTER OF WILLS DATE 04-06-2015
?��5 � � �� 11 �� �� ESTATE OF GARBACIK RAYMOND R
J DATE OF DEATH 02-08-2013
_ FILE NUMBER 21 13-0194
CLEF,h OF COUNTY CUMBERLAND
RICHARDQ1RP�fflB 1fi(jUrj ACN 14101752
221 N 17�Ji� RL t wf f ' r ! Amount Remitted
CAMP HIL �A 17011-3911
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS
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REV-1607 EX AFP (12-14) *** INHERITANCE TAX STATEMENT OF ACCOUNT *
ESTATE OF:GARBACIK RAYMOND R FILE NO. : 21 13-0194 ACN: 14101752 DATE: 04-06-2015
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-08-2014
PRINCIPAL TAX DUE: 13,886.56
PAYMENTS (TAX CREDITS) :
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
05-08-2013 CDO17584 694.33 13,192.23
TOTAL TAX PAYMENT 13,886.56
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
.00
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM
FOR INSTRUCTIONS.
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